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10:36:54.086 [error] Postgrex.Protocol (#PID<0.522.0>) failed to connect: ** (DBConnection.ConnectionError) tcp connect ( connection refused - :econnrefused

psql: error: could not connect to server: could not connect to server: No such file or directory
Is the server running locally and accepting
connections on Unix domain socket "/tmp/.s.PGSQL.5432"?

Even if brew services restart postgres is successful, there may be an error occurring, view your log, which for me with homebrew’s install was tail -n 50 /usr/local/var/log/postgres.log. If you see something like the following, you may need to switch a package version back to something older:

dyld: Library not loaded: /usr/local/opt/icu4c/lib/libicui18n.64.dylib
Referenced from: /usr/local/opt/postgresql/bin/postgres
Reason: image not found

For me, after an OS update, the icu4c package had been changed, so I needed to switch it back, using brew switch icu4c 64.2

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